Designated
Health Professional Shortage Areas
Statistics

Fourth Quarter of Fiscal Year 2017
Designated HPSA Quarterly Summary



As of September 30, 2017



Bureau of Health Workforce
Health Resources and Services Administration (HRSA)
U.S. Department of Health & Human Services
Table 1. Health Professional Shortage Areas: Number, Population, and Additional Practitioners
Needed for Geographic Areas, Population Groups, and Facilities as of September 30, 2017
 
           
Practitioners
Needed to
 
 
Number of
 
Population of
 
Percent of
 
Remove
 
   
Designations
(1)
 
Designated HPSAs
(2)
 
Need Met
(3)
  
Designations
  
Primary Medical HPSA Totals
6,900
  
72,865,882
   
53.60 %
(4)
  
11,197
(7)
 
Geographic Area
1,449
  
34,033,484
   
63.60 %
   
3,798
  
Population Group
1,634
  
37,588,555
   
47.32 %
   
6,576
  
Facility
3,817
  
1,243,843
   
32.24 %
   
823
  
Dental HPSA Totals
5,667
  
54,932,881
   
36.97 %
(5)
  
8,847
(8)
 
Geographic Area
713
  
15,224,739
   
56.56 %
   
1,511
  
Population Group
1,688
  
38,029,547
   
30.89 %
   
6,522
  
Facility
3,266
  
1,678,595
   
26.80 %
   
814
  
Mental Health HPSA Totals
4,816
  
111,825,527
   
40.76 %
(6)
  
3,957
(9)
 
Geographic Area
1,052
  
87,412,190
   
49.73 %
   
2,051
  
Population Group
312
  
22,208,227
   
33.85 %
   
723
  
Facility
3,452
  
2,205,110
   
21.10 %
   
1,183
  
HRSA Data Warehouse
1 of 7
December 17, 2017
Data as of:
10/01/2017

Designated
Health Professional Shortage Areas
Statistics
Table 2. Health Professional Shortage Areas: Rural/Non-Rural Classification as of September 30, 2017
 
           
Practitioners
 
     
Percentage
 
Population
 
Needed to
 
   
Number of
of All
 
of Designated
 
Remove
 
   
Designations
(1)
Designations
(10)
HPSAs
 
Designations
 
Primary Medical HPSA Totals
 
6,900
    
72,865,882
   
11,197
  
Rural
 
4,097
 
59.38 %
  
22,180,742
   
3,230
  
Geographic Area
 
926
 
13.42 %
  
12,819,208
   
1,437
  
Population Group
 
917
 
13.29 %
  
8,764,598
   
1,416
  
Facility
 
2,254
 
32.67 %
  
596,936
   
377
  
Non-Rural
 
2,311
 
33.49 %
  
34,744,247
   
5,681
  
Geographic Area
 
286
 
4.14 %
  
13,788,397
   
1,582
  
Population Group
 
469
 
6.80 %
  
20,308,943
   
3,653
  
Facility
 
1,556
 
22.55 %
  
646,907
   
446
  
Partially Rural (11)
 
476
 
6.90 %
  
15,779,595
   
2,251
  
Geographic Area
 
234
 
3.39 %
  
7,378,871
   
769
  
Population Group
 
242
 
3.51 %
  
8,400,724
   
1,482
  
Unknown (12)
 
16
 
0.23 %
  
161,298
   
35
  
Geographic Area
 
3
 
0.04 %
  
47,008
   
10
  
Population Group
 
6
 
0.09 %
  
114,290
   
25
  
Facility
 
7
 
0.10 %
         
Dental HPSA Totals
 
5,667
    
54,932,881
   
8,847
  
Rural
 
3,345
 
59.03 %
  
18,705,849
   
2,904
  
Geographic Area
 
523
 
9.23 %
  
7,521,863
   
755
  
Population Group
 
999
 
17.63 %
  
10,366,226
   
1,769
  
Facility
 
1,823
 
32.17 %
  
817,760
   
380
  
Non-Rural
 
1,953
 
34.46 %
  
23,715,717
   
4,009
  
Geographic Area
 
96
 
1.69 %
  
4,753,736
   
508
  
Population Group
 
421
 
7.43 %
  
18,103,710
   
3,068
  
Facility
 
1,436
 
25.34 %
  
858,271
   
433
  
Partially Rural
 
356
 
6.28 %
  
12,378,138
   
1,919
  
Geographic Area
 
91
 
1.61 %
  
2,894,530
   
244
  
Population Group
 
265
 
4.68 %
  
9,483,608
   
1,675
  
Unknown
 
13
 
0.23 %
  
133,177
   
15
  
Geographic Area
 
3
 
0.05 %
  
54,610
   
4
  
Population Group
 
3
 
0.05 %
  
76,003
   
10
  
Facility
 
7
 
0.12 %
  
2,564
   
1
  
Mental Health HPSA Totals
 
4,816
    
111,825,527
   
3,957
  
Rural
 
2,554
 
53.03 %
  
25,846,389
   
1,114
  
Geographic Area
 
611
 
12.69 %
  
23,360,827
   
636
  
Population Group
 
72
 
1.50 %
  
1,512,101
   
74
  
Facility
 
1,871
 
38.85 %
  
973,461
   
404
  
Non-Rural
 
1,815
 
37.69 %
  
27,110,314
   
1,333
  
Geographic Area
 
114
 
2.37 %
  
15,415,205
   
288
  
Population Group
 
128
 
2.66 %
  
10,466,844
   
267
  
Facility
 
1,573
 
32.66 %
  
1,228,265
   
778
  
Partially Rural
 
433
 
8.99 %
  
58,723,054
   
1,506
  
Geographic Area
 
321
 
6.67 %
  
48,493,772
   
1,124
  
Population Group
 
112
 
2.33 %
  
10,229,282
   
382
  
Unknown
 
14
 
0.29 %
  
145,770
   
4
  
Geographic Area
 
6
 
0.12 %
  
142,386
   
3
  
Facility
 
8
 
0.17 %
  
3,384
   
1
  
HRSA Data Warehouse
2 of 7
December 17, 2017
Data as of:
10/01/2017

Designated
Health Professional Shortage Areas
Statistics
 
HRSA Data Warehouse
3 of 7
December 17, 2017
Data as of:
10/01/2017

Designated
Health Professional Shortage Areas
Statistics
Table 3. Primary Care Health Professional Shortage Areas, by State, as of September 30, 2017
              
Primary Care
      
Population of
  
Practitioners
Needed to
 
 
Total
  
Geographic
Population
 
Designated
Percent of
 
Remove
 
 
Designations
(1)
 
Area
Group
Facility
HPSAs
Need Met
(3)
Designation
(6)
HPSA Total
6,900
  
1,449
1,634
3,817
72,865,882
53.60 %
 
11,197
 
Region I
251
  
22
50
179
1,234,635
41.33 %
 
251
 
Connecticut
40
  
0
23
17
403,248
12.50 %
 
121
 
Maine
67
  
13
8
46
90,504
35.75 %
 
18
 
Massachusetts
67
  
4
9
54
471,298
65.22 %
 
58
 
New Hampshire
31
  
2
7
22
106,179
57.38 %
 
16
 
Rhode Island
14
  
1
3
10
152,771
32.75 %
 
37
 
Vermont
32
  
2
0
30
10,635
56.34 %
 
1
 
Region II
258
  
23
90
145
5,346,749
22.93 %
 
1,369
 
New Jersey
34
  
0
0
34
28,823
54.90 %
 
13
 
New York
181
  
19
74
88
3,517,237
32.61 %
 
772
 
Puerto Rico
37
  
0
16
21
1,689,212
1.92 %
 
554
 
U.S. Virgin Islands
6
  
4
0
2
111,477
18.12 %
 
30
 
Region III
475
  
83
111
281
4,244,625
59.73 %
 
598
 
Delaware
13
  
2
4
7
213,608
87.27 %
 
9
 
District of Columbia
15
  
3
3
9
241,638
50.40 %
 
43
 
Maryland
55
  
9
21
25
1,043,913
54.74 %
 
180
 
Pennsylvania
160
  
17
28
115
655,396
62.69 %
 
93
 
Virginia
106
  
46
15
45
1,459,759
66.27 %
 
156
 
West Virginia
126
  
6
40
80
630,311
45.72 %
 
117
 
Region IV
1,252
  
264
448
540
18,961,428
54.90 %
 
2,873
 
Alabama
97
  
31
27
39
1,797,625
73.11 %
 
164
 
Florida
257
  
15
113
129
5,203,725
36.70 %
 
1,133
 
Georgia
230
  
56
90
84
2,937,829
50.80 %
 
484
 
Kentucky
157
  
51
28
78
1,079,428
65.40 %
 
122
 
Mississippi
116
  
53
25
38
1,711,911
56.62 %
 
253
 
North Carolina
158
  
20
65
73
1,810,773
50.42 %
 
285
 
South Carolina
99
  
17
34
48
1,991,702
67.62 %
 
216
 
Tennessee
138
  
21
66
51
2,428,435
73.53 %
 
216
 
Region V
1,130
  
218
223
689
10,761,753
64.72 %
 
1,234
 
Illinois
229
  
47
73
109
3,510,594
57.75 %
 
473
 
Indiana
146
  
41
51
54
2,439,501
72.33 %
 
215
 
Michigan
353
  
27
45
281
2,008,944
64.98 %
 
230
 
Minnesota
128
  
32
23
73
466,664
54.79 %
 
71
 
Ohio
145
  
41
12
92
1,362,319
68.28 %
 
149
 
Wisconsin
129
  
30
19
80
973,731
69.64 %
 
96
 
Region VI
970
  
276
194
500
10,450,060
62.71 %
 
1,288
 
Arkansas
100
  
22
52
26
598,126
59.84 %
 
84
 
Louisiana
128
  
41
21
66
2,021,543
74.53 %
 
169
 
New Mexico
104
  
29
10
65
1,015,590
34.02 %
 
216
 
Oklahoma
185
  
13
66
106
1,290,049
55.78 %
 
196
 
Texas
453
  
171
45
237
5,524,752
65.59 %
 
623
 
Region VII
641
  
91
209
341
3,470,928
36.55 %
 
699
 
Iowa
125
  
34
26
65
688,923
61.93 %
 
83
 
Kansas
164
  
19
74
71
668,127
60.75 %
 
80
 
Missouri
241
  
27
109
105
2,084,893
20.61 %
 
531
 
Nebraska
111
  
11
0
100
28,985
41.79 %
 
5
 
Region VIII
504
  
166
101
237
2,472,717
52.59 %
 
370
 
Colorado
121
  
23
38
60
1,000,878
46.99 %
 
179
 
Montana
115
  
26
28
61
291,827
53.91 %
 
40
 
North Dakota
78
  
45
5
28
189,007
37.86 %
 
30
 
South Dakota
89
  
38
11
40
204,397
42.38 %
 
34
 
Utah
61
  
15
17
29
641,028
64.38 %
 
76
 
Wyoming
40
  
19
2
19
145,580
69.76 %
 
11
 
Region IX
926
  
220
107
599
12,034,858
54.68 %
 
1,809
 
Arizona
177
  
62
16
99
3,222,550
49.37 %
 
520
 
California
624
  
125
79
420
7,509,477
59.80 %
 
1,015
 
Hawaii
24
  
5
1
18
117,906
50.92 %
 
17
 
Nevada
83
  
20
10
53
704,044
48.07 %
 
126
 
American Samoa
2
  
1
0
1
57,291
10.47 %
 
17
 
Federated States of Micronesia
8
  
3
1
4
106,632
0.00 %
 
36
 
Guam
2
  
1
0
1
186,337
29.79 %
 
44
 
Marshall Islands
2
  
1
0
1
50,638
0.00 %
 
17
 
Northern Mariana Islands
2
  
1
0
1
69,221
43.48 %
 
13
 
Republic of Palau
2
  
1
0
1
10,762
0.00 %
 
4
 
Region X
493
  
86
101
306
3,888,129
43.40 %
 
706
 
Alaska
86
  
17
0
69
130,148
39.75 %
 
24
 
Idaho
101
  
15
30
56
490,500
62.62 %
 
57
 
Oregon
119
  
14
27
78
936,983
56.62 %
 
137
 
Washington
187
  
40
44
103
2,330,498
33.78 %
 
488
 
HRSA Data Warehouse
4 of 7
December 17, 2017
Data as of:
10/01/2017

Designated
Health Professional Shortage Areas
Statistics
Table 4. Dental Health Health Professional Shortage Areas, by State, as of September 30, 2017
              
Dental Health
      
Population of
  
Practitioners
Needed to
 
 
Total
  
Geographic
Population
 
Designated
Percent of
 
Remove
 
 
Designations
(1)
 
Area
Group
Facility
HPSAs
Need Met
(4)
Designation
(7)
HPSA Total
5,667
  
713
1,688
3,266
54,932,881
36.97 %
 
8,847
 
Region I
239
  
23
54
162
1,460,952
36.92 %
 
242
 
Connecticut
37
  
0
21
16
373,887
10.75 %
 
83
 
Maine
75
  
14
21
40
305,879
34.27 %
 
48
 
Massachusetts
61
  
7
4
50
536,399
52.30 %
 
70
 
New Hampshire
24
  
0
4
20
38,143
57.76 %
 
5
 
Rhode Island
14
  
0
4
10
178,655
34.89 %
 
34
 
Vermont
28
  
2
0
26
27,989
70.56 %
 
2
 
Region II
206
  
7
38
161
2,342,038
43.20 %
 
366
 
New Jersey
39
  
0
0
39
45,705
25.96 %
 
23
 
New York
139
  
3
38
98
2,178,679
44.38 %
 
324
 
Puerto Rico
23
  
1
0
22
13,159
16.13 %
 
4
 
U.S. Virgin Islands
5
  
3
0
2
104,495
42.11 %
 
15
 
Region III
434
  
42
153
239
4,678,093
38.41 %
 
734
 
Delaware
10
  
0
3
7
178,124
6.84 %
 
50
 
District of Columbia
11
  
0
2
9
75,252
12.75 %
 
17
 
Maryland
43
  
8
15
20
507,828
55.08 %
 
58
 
Pennsylvania
164
  
4
56
104
1,997,447
38.98 %
 
310
 
Virginia
88
  
21
36
31
1,174,925
43.96 %
 
159
 
West Virginia
118
  
9
41
68
744,517
29.20 %
 
140
 
Region IV
1,068
  
139
454
475
16,967,279
30.98 %
 
2,984
 
Alabama
64
  
0
43
21
1,668,274
27.04 %
 
303
 
Florida
223
  
1
105
117
5,073,822
15.20 %
 
1,116
 
Georgia
190
  
42
79
69
1,869,689
27.43 %
 
356
 
Kentucky
107
  
13
22
72
520,771
58.57 %
 
48
 
Mississippi
110
  
56
23
31
1,775,071
53.92 %
 
209
 
North Carolina
144
  
3
71
70
2,135,616
37.89 %
 
341
 
South Carolina
84
  
20
18
46
1,561,458
52.05 %
 
186
 
Tennessee
146
  
4
93
49
2,362,578
28.40 %
 
425
 
Region V
919
  
30
340
549
7,899,451
36.11 %
 
1,289
 
Illinois
166
  
6
77
83
2,246,379
29.04 %
 
407
 
Indiana
65
  
7
21
37
920,815
36.37 %
 
152
 
Michigan
281
  
1
60
220
903,749
40.04 %
 
134
 
Minnesota
130
  
10
64
56
730,799
42.94 %
 
106
 
Ohio
140
  
6
61
73
1,656,048
38.75 %
 
257
 
Wisconsin
137
  
0
57
80
1,441,661
37.98 %
 
233
 
Region VI
763
  
184
153
426
8,443,997
53.71 %
 
997
 
Arkansas
84
  
10
52
22
665,264
47.40 %
 
89
 
Louisiana
113
  
36
19
58
1,861,967
58.82 %
 
192
 
New Mexico
82
  
21
16
45
852,391
33.36 %
 
138
 
Oklahoma
163
  
7
59
97
893,099
38.73 %
 
151
 
Texas
321
  
110
7
204
4,171,276
59.99 %
 
427
 
Region VII
544
  
67
218
259
3,102,840
28.06 %
 
536
 
Iowa
120
  
11
54
55
463,718
52.93 %
 
55
 
Kansas
133
  
25
62
46
608,847
41.61 %
 
79
 
Missouri
210
  
30
100
80
2,024,080
17.90 %
 
402
 
Nebraska
81
  
1
2
78
6,195
84.62 %
 
0
 
Region VIII
368
  
78
91
199
1,769,984
46.25 %
 
228
 
Colorado
99
  
20
30
49
673,514
41.93 %
 
98
 
Montana
85
  
11
18
56
189,765
33.72 %
 
27
 
North Dakota
37
  
16
2
19
74,583
29.21 %
 
10
 
South Dakota
64
  
21
12
31
146,346
26.39 %
 
25
 
Utah
53
  
5
23
25
615,497
59.08 %
 
62
 
Wyoming
30
  
5
6
19
70,279
62.51 %
 
6
 
Region IX
722
  
101
76
545
4,647,788
31.83 %
 
857
 
Arizona
190
  
68
24
98
2,651,127
30.53 %
 
479
 
California
427
  
14
40
373
1,183,832
35.95 %
 
230
 
Hawaii
19
  
1
1
17
35,776
33.88 %
 
7
 
Nevada
69
  
10
11
48
504,962
40.76 %
 
76
 
American Samoa
2
  
1
0
1
57,291
8.38 %
 
13
 
Federated States of Micronesia
8
  
4
0
4
107,020
0.00 %
 
27
 
Guam
1
  
0
0
1
 
---
   
Marshall Islands
2
  
1
0
1
27,797
0.00 %
 
7
 
Northern Mariana Islands
2
  
1
0
1
69,221
15.61 %
 
15
 
Republic of Palau
2
  
1
0
1
10,762
0.00 %
 
3
 
Region X
404
  
42
111
251
3,620,459
31.08 %
 
614
 
Alaska
66
  
15
0
51
141,108
46.46 %
 
17
 
Idaho
97
  
6
38
53
459,568
50.32 %
 
57
 
Oregon
102
  
3
33
66
1,014,915
37.57 %
 
161
 
Washington
139
  
18
40
81
2,004,868
22.04 %
 
379
 
HRSA Data Warehouse
5 of 7
December 17, 2017
Data as of:
10/01/2017

Designated
Health Professional Shortage Areas
Statistics
Table 5. Mental Health Care Health Professional Shortage Areas, by State, as of September 30, 2017
              
Mental Health Care
      
Population of
  
Practitioners
Needed to
 
 
Total
  
Geographic
Population
 
Designated
Percent of
 
Remove
 
 
Designations
(1)
 
Area
Group
Facility
HPSAs
Need Met
(5)
Designation
(8)
HPSA Total
4,816
  
1,052
312
3,452
111,825,527
40.76 %
 
3,957
 
Region I
197
  
25
9
163
4,095,678
42.52 %
 
144
 
Connecticut
33
  
7
4
22
2,788,335
32.78 %
 
101
 
Maine
51
  
12
0
39
274,624
26.52 %
 
11
 
Massachusetts
56
  
1
4
51
497,676
51.89 %
 
20
 
New Hampshire
20
  
3
0
17
92,770
94.92 %
 
0
 
Rhode Island
13
  
2
1
10
442,273
61.17 %
 
12
 
Vermont
24
  
0
0
24
 
---
   
Region II
241
  
20
53
168
5,254,771
41.83 %
 
187
 
New Jersey
37
  
0
0
37
32,755
71.51 %
 
4
 
New York
159
  
16
43
100
3,793,949
42.10 %
 
132
 
Puerto Rico
40
  
1
10
29
1,323,566
24.17 %
 
42
 
U.S. Virgin Islands
5
  
3
0
2
104,501
60.95 %
 
9
 
Region III
404
  
68
53
283
7,063,783
50.95 %
 
270
 
Delaware
12
  
0
1
11
84,620
7.90 %
 
15
 
District of Columbia
10
  
1
0
9
129,762
49.31 %
 
3
 
Maryland
54
  
12
10
32
1,469,709
61.63 %
 
33
 
Pennsylvania
122
  
25
1
96
1,832,717
55.16 %
 
63
 
Virginia
79
  
17
7
55
2,124,210
56.91 %
 
66
 
West Virginia
127
  
13
34
80
1,422,765
38.28 %
 
90
 
Region IV
720
  
133
88
499
25,192,616
42.88 %
 
909
 
Alabama
53
  
14
7
32
2,787,269
46.23 %
 
82
 
Florida
160
  
16
32
112
4,905,689
33.30 %
 
144
 
Georgia
108
  
23
7
78
6,237,547
49.35 %
 
173
 
Kentucky
100
  
29
2
69
1,979,257
55.26 %
 
50
 
Mississippi
47
  
13
0
34
2,357,190
73.18 %
 
65
 
North Carolina
115
  
19
16
80
1,754,919
30.63 %
 
54
 
South Carolina
65
  
9
9
47
1,791,577
56.74 %
 
47
 
Tennessee
72
  
10
15
47
3,379,168
14.26 %
 
294
 
Region V
769
  
182
19
568
18,707,375
41.78 %
 
690
 
Illinois
125
  
32
5
88
4,991,735
68.36 %
 
71
 
Indiana
72
  
26
4
42
3,837,848
36.09 %
 
171
 
Minnesota
65
  
9
0
56
2,018,923
35.20 %
 
60
 
Michigan
262
  
46
3
213
3,455,794
38.05 %
 
118
 
Ohio
111
  
19
7
85
2,153,696
53.65 %
 
55
 
Wisconsin
134
  
50
0
84
2,249,379
25.22 %
 
215
 
Region VI
774
  
290
30
454
15,883,342
40.06 %
 
550
 
Arkansas
45
  
5
9
31
1,098,671
61.16 %
 
17
 
Louisiana
118
  
52
7
59
2,876,940
37.74 %
 
92
 
New Mexico
72
  
16
2
54
1,211,555
23.09 %
 
45
 
Oklahoma
116
  
4
9
103
1,536,823
23.87 %
 
85
 
Texas
423
  
213
3
207
9,159,353
43.99 %
 
311
 
Region VII
340
  
52
18
270
7,260,406
36.93 %
 
223
 
Iowa
71
  
16
0
55
1,695,284
57.77 %
 
28
 
Kansas
69
  
20
2
47
1,445,545
41.63 %
 
38
 
Missouri
116
  
11
16
89
3,103,120
21.96 %
 
148
 
Nebraska
84
  
5
0
79
1,016,457
72.61 %
 
9
 
Region VIII
336
  
97
8
231
5,879,248
39.44 %
 
193
 
Colorado
90
  
11
3
76
2,006,818
33.35 %
 
74
 
Montana
81
  
23
4
54
531,468
24.20 %
 
25
 
North Dakota
54
  
30
0
24
386,352
41.82 %
 
17
 
South Dakota
49
  
15
0
34
459,320
15.25 %
 
22
 
Utah
39
  
13
1
25
1,972,437
49.75 %
 
48
 
Wyoming
23
  
5
0
18
522,853
71.69 %
 
7
 
Region IX
661
  
90
21
550
14,842,416
33.94 %
 
534
 
Arizona
103
  
6
0
97
6,362,085
20.94 %
 
240
 
California
457
  
61
20
376
6,323,740
37.65 %
 
221
 
Hawaii
28
  
9
1
18
304,453
52.92 %
 
7
 
Nevada
56
  
6
0
50
1,439,340
54.00 %
 
53
 
American Samoa
2
  
1
0
1
57,292
0.00 %
 
3
 
Federated States of Micronesia
8
  
4
0
4
107,020
0.00 %
 
6
 
Guam
2
  
1
0
1
159,358
58.97 %
 
3
 
Marshall Islands
1
  
0
0
1
 
---
   
Northern Mariana Islands
2
  
1
0
1
69,221
86.96 %
 
0
 
Republic of Palau
2
  
1
0
1
19,907
0.00 %
 
1
 
Region X
374
  
95
13
266
7,645,892
32.97 %
 
257
 
Alaska
70
  
18
0
52
305,305
14.86 %
 
10
 
Idaho
63
  
7
1
55
1,676,558
50.92 %
 
29
 
Oregon
90
  
17
4
69
1,661,456
50.28 %
 
46
 
Washington
151
  
53
8
90
4,002,573
22.28 %
 
172
 
HRSA Data Warehouse
6 of 7
December 17, 2017
Data as of:
10/01/2017

Designated
Health Professional Shortage Areas
Statistics
 
Endnotes
 
(1)
The number of designations includes HPSAs that are proposed for withdrawal (P) and HPSAs that have no data (N). Designations are not withdrawn until a Federal Register Notice is published, generally once a year on or around July 1.
 
(2)
The figure reported for the Population of Designated Facility HPSAs for both Primary Care and Dental reflects the number of internees in designated correctional facilities. The figure reported for the Population of Designated Facility HPSAs for Mental Health reflects the number of internees in designated correctional facilities, as well as the average daily inpatient census for state and county mental hospitals designated after September 1, 2015. For reports generated prior to September 1, 2015, the Population of Designated Facility HPSAs for all disciplines included populations served by other public or non-profit facilities. These are facilities that qualify for HPSA designation by demonstrating that even though they are not located in a geographic or population HPSA, they serve the populations of geographic and population HPSAs. As a result, these populations were potentially double counted.
 
(3)
The figure reported for Percent of Need Met for facility HPSAs includes correctional facilities and state mental hospitals. It excludes facilities not located in a HPSA that are designated based on providing services to the population of a geographic or population HPSA. It also excludes facilities automatically designated based on statute, including health center program grantees, Federally Qualified Health Center Look Alikes, Indian Health Service facilities, and rural health clinics that meet National Health Service Corps (NHSC) site requirements.
 
(4)
The percent of need met is computed by dividing the number of primary care physicians available to serve the population of the area, group, or facility by the number of primary care physicians that would be necessary to reduce the population to provider ratio below the threshold for designation so that it would eliminate the designation as a primary care HPSA. Federal regulations stipulate that, in order to be considered as having a shortage of providers, a designation must have a population-to-provider ratio that meets or exceeds a certain threshold. For primary care geographic designations, the population to provider ratio must be at least 3,500 to 1. For primary care population designations or geographic designations in areas with unusually high needs, the threshold is 3,000 to 1. For correctional facilities, the threshold is 1,000:1 and takes into account the average length of stay, and whether or not intake examinations are routinely performed.
 
(5)
The percent of need met is computed by dividing the number of dentists available to serve the population of the area, group, or facility by the number of dentists that would be necessary to reduce the population to provider ratio below the threshold for designation so that it would eliminate the designation as a dental HPSA. Federal regulations stipulate that, in order to be considered as having a shortage of providers, a designation must have a population-to-provider ratio that meets or exceeds a certain threshold. For dental geographic designations, the ratio must be at least 5,000 to 1. For dental population designations or geographic designations in areas with unusually high needs, the threshold is 4,000 to 1. For correctional facilities, the threshold is 1,500:1 and takes into account the average length of stay, and whether or not intake examinations are routinely performed.
 
(6)
The percent of need met is computed by dividing the number of mental health providers available to serve the population of the area, group, or facility by the number of mental health providers that would be necessary to reduce the population to provider ratio below the threshold for designation so that it would eliminate the designation as a mental health HPSA. Federal regulations stipulate that, in order to be considered as having a shortage of providers, a designation must have a population-to-provider ratio that meets or exceeds a certain threshold. Mental health designations may qualify for designation based on the population to psychiatrist ratio, the population to core mental health provider (psychiatrists, clinical psychologists, clinical social workers, psychiatric nurse specialists, and marriage and family therapists) ratio, or the population to both psychiatrist and core mental health provider ratios. For mental health geographic designations based on the ratio of population to psychiatrist ratio, the designation must have a ratio of 30,000 to 1, while for population designations or geographic designations in areas with unusually high needs, the threshold is 20,000 to 1. For mental health geographic designations based on the ratio of population to core mental health providers, the designation must have a ratio of 9,000 to 1, while for population designations or geographic designations in areas with unusually high needs, the threshold is 6,000 to 1. For mental health geographic designations based on the ratios of both population to psychiatrist and population to core mental health providers, the designation must have ratios of 20,000 to 1 (psychiatrists) and 6,000 to 1 (core mental health providers), while for population designations or geographic designations in areas with unusually high needs, the thresholds are 15,000 to 1 (psychiatrists) and 4,500 to 1 (core mental health providers). For correctional facilities, the threshold is 2,000:1 and takes into account the average length of stay, and whether or not intake examinations are routinely performed. For state mental hospitals, the calculation is based on workload units, which are a function of the average daily inpatient census and the number and type of admissions. For correctional facilities and state mental hospitals, psychiatrists are the only provider type counted.
 
(7)
The number of additional primary care physicians needed to achieve a population-to-primary care physician ratio below the thresholds necessary for designation in all designated primary care HPSAs that would result in their removal from designation. The formula used to designate primary care HPSAs does not take into account the availability of additional primary care services provided by nurse practitioners and physician assistants in an area. The figure reported for Practitioners Needed To Remove Designations for facility HPSAs includes correctional facilities. It excludes facilities not located in a HPSA that are designated based on providing services to the population of a geographic or population HPSA. It also excludes facilities automatically designated based on statute, including health center program grantees, Federally Qualified Health Center Look Alikes, Indian Health Service facilities, and rural health clinics that meet NHSC site requirements.
 
(8)
The number of additional dentists needed to achieve a population-to-dentist ratio below the thresholds necessary for designation in all designated dental HPSAs that would result in their removal from designation. The figure reported for Practitioners Needed To Remove Designations for facility HPSAs includes correctional facilities. It excludes facilities not located in a HPSA that are designated based on providing services to the population of a geographic or population HPSA. It also excludes facilities automatically designated based on statute, including health center program grantees, Federally Qualified Health Center Look Alikes, Indian Health Service facilities, and rural health clinics that meet NHSC site requirements.
 
(9)
The number of additional mental health providers needed to achieve a population-to-provider ratio below the thresholds necessary for designation in all designated mental health HPSAs that would result in their removal from designation. While the regulations allow mental health HPSA designations to be based on the psychiatrist to population ratio, the core mental health provider to population ratio, or both in conjunction, most mental health HPSA designations are currently based on the psychiatrists only to population ratio. If a HPSA designation is based on the ratio of population to psychiatrists only, it does not take into account the availability of additional mental health services provided by other mental health providers in the area, such as clinical psychologists, clinical social workers, psychiatric nurse specialists, and marriage and family therapists. The figure reported for Practitioners Needed To Remove Designations for facility HPSAs includes correctional facilities and state mental hospitals. It excludes facilities not located in a HPSA that are designated based on providing services to the population of a geographic or population HPSA. It also excludes facilities automatically designated based on statute, including health center program grantees, Federally Qualified Health Center Look Alikes, Indian Health Service facilities, and rural health clinics that meet NHSC site requirements.
 
(10)
Percentages of all designations classified as rural/non-rural are calculated by dividing the number of designations for the specified subcategory by the total number of designations for each discipline type and multiplying the result by 100. Due to decimal rounding, percentage totals may not equal exactly 100%.
 
(11)
Partially rural designations are those made up of geographic components that have a mixture of rural, non-rural, and unknown statuses.
 
(12)
Designations of unknown rural status may include 1) facility HPSAs whose precise location could not be located on a map (i.e. geocoded) or 2) geographic or population group HPSAs that are made up of some or all areas for which rural status is undefined. Rural status may be undefined where rural information or underlying geographic reference data for administrative boundaries is unavailable for the specified geographic area.
   
HRSA Data Warehouse
7 of 7
December 17, 2017
Data as of:
10/01/2017